Subdural hematoma MRI

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.

Overview

Brain MRI may be helpful in the diagnosis of subdural hematoma. Findings on MRI diagnostic of subdural hematoma include crescent shape hematoma which has different intensity in different phases.

MRI

Brain MRI may be helpful in the diagnosis of subdural hematoma. Findings on MRI diagnostic of subdural hematoma include:[1]

Acute subdural hematoma:

  • Crescent shape hematoma
  • T1: Isointense to gray matter
  • T2: Hypointense to gray matter
https://radiopaedia.org/cases/acute-subdural-haemorrhage-on-mri

Subacute subdural hematoma:

  • Crescent shape hematoma
  • Hyperintense in T1 and T2
https://radiopaedia.org/cases/subacute-subdural-haematoma-7?lang=us

Chronic subdural hematoma:

  • Crescent shape hematoma
  • Isointense to CSF in T1 and T2
https://radiopaedia.org/cases/chronic-subdural-haematoma

Acute on chronic subdural hematoma:

  • In case of rebleeding, it appears hyperintense to CSF in T1 and hypointense to CSF in T2
https://radiopaedia.org/cases/subdural-haemorrhage-acute-on-chronic-mri-2

References

  1. Carroll, Jason J.; Lavine, Sean D.; Meyers, Philip M. (2017). "Imaging of Subdural Hematomas". Neurosurgery Clinics of North America. 28 (2): 179–203. doi:10.1016/j.nec.2016.11.001. ISSN 1042-3680.

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